Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.33 / $5.01	Professional		$0.26	$0.33	$5.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.79 / $1.26	Professional		$0.52	$0.79	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $2.82	Professional		$2.14	$2.82	$2.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.38 / $0.65	Facility		$0.20	$0.38	$0.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.22 / $0.40	Professional		$0.14	$0.22	$0.40